| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $446.68 | |
Aetna
| Professional | $316.23 | $316.23 | $398.11 | |
BCBS
| Facility | $316.23 | $398.11 | $933.25 | |
BCBS
| Professional | $125.89 | $316.23 | $1,380.38 | |
Cigna
| Facility | $302.00 | $316.23 | $1,096.48 | |
Cigna
| Professional | $316.23 | $316.23 | $354.81 | |
United
| Facility | $275.42 | $446.68 | $851.14 | |
United
| Professional | $125.89 | $275.42 | $1,445.44 |